Abstract
Following a historical review of the treatment of portal hypertension, the evaluation of the patient with bleeding esophageal varices is discussed. The aim of preoperative evaluation is to determine the best option for either emergency or elective treatment of bleeding esophageal varices. The most recent medical and surgical randomized studies with meta-analyses are discussed.
MeSH terms
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Esophageal and Gastric Varices / complications
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Esophageal and Gastric Varices / etiology
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Esophageal and Gastric Varices / therapy
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Gastrointestinal Hemorrhage / etiology
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Gastrointestinal Hemorrhage / prevention & control
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Humans
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Hypertension, Portal / complications
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Hypertension, Portal / surgery*
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Portasystemic Shunt, Surgical / methods*
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Randomized Controlled Trials as Topic
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Sclerotherapy